Calcified canal. Ultrasound-assisted resolution.
Treatment resolved with ultrasound. Patient referred by another colleague after failing to bypass the calcified canal of tooth 11 with a history of trauma. After some initial attempts with a cut file, we proceeded with the application of a fine non-diamond ultrasonic tip and medium power. After two attempts, there was a successful overcoming and subsequent treatment.
In: Ribeiro & Aguiar. Ibero-American Journal of Humanities, Sciences and Education - REAS
INTRODUCTION
In dental anatomy it is essential to address the dentin-pulp complex, which is a region susceptible to damage, capable of generating obliteration of the root canals, this phenomenon is caused by various factors such as caries, aging,
trauma, among others that can affect the dental structure. Physiologically, the odontoblasts start to deposit a quantity of secondary dentin (in cases of age, where it is deposited slowly over time) or tertiary (in case of some injury or trauma), the latter being more disorganized and deposited more quickly. The masses of calcified tissue at the level of the pulp chamber and root canals of the tooth are called Pulpal Calcification (PC). (BUCHGREITS J. 2016), (NEVILLE B.ALLEN C. 2004), (SATHEESHKUMARP. 2013).
CP may be present at the level of the pulp chamber and/or root canal.³ and may even obliterate the root canal completely and this does not necessarily presuppose changes in the color of the tooth crown, tooth periapice and tooth sensitivity. They can occur in healthy, diseased, erupted or impacted teeth in all age groups
6. (SATHEESHKUMAR P. 2013), (MCCABE P. DUMMER P. 2012), (TASSOKER M., MAGAT G. SENNER S. 2018).
Calcifications can be located more regularly in the coronal portion than in the root portion of the pulp organ. Reported occurrences differ from 8% to 90%,but different researchers have recorded the prevalence in almost 20% of teeth
recorded individually by means of radiographs. In pulpal calcifications, the prevalence seems to increase with the age of individuals due to the numerous physical and chemical impacts, to which the teeth are constantly exposed throughout the life of individuals, until reaching senility (RAVANSHAD S. 2015).
Calcified canal.
